| Lakeland Periodontics, Inc | |
|
3003 S Florida Ave Suite 201 Lakeland FL 33803-4050 | |
| (863) 687-9227 | |
| (863) 687-2813 |
| Full Name | Lakeland Periodontics, Inc |
|---|---|
| Speciality | Dentist - Periodontics |
| Location | 3003 S Florida Ave, Lakeland, Florida |
| Authorized Official Name and Position | Donna L Todd (INSURANCE COORDINATOR) |
| Authorized Official Contact | 8636879227 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lakeland Periodontics, Inc 3003 S Florida Ave Suite 201 Lakeland FL 33803-4050 Ph: (863) 687-9227 | Lakeland Periodontics, Inc 3003 S Florida Ave Suite 201 Lakeland FL 33803-4050 Ph: (863) 687-9227 |
| NPI Number | 1508892225 |
|---|---|
| Provider Enumeration Date | 06/24/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508892225 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0300X | Dentist - Periodontics | (* (Not Available)) | Primary |
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